Explaining the Endoscopic Brow Lift

Plastic surgeons Dr. Drew Ordon and Dr. Ritu Chopra explain how the endoscopic brow lift is performed.

Explaining the Endoscopic Brow Lift Dr. Andrew Ordon: I have my partner plastic surgeon Dr. Ritu Chopra here with me to talk about this endoscopic brow lift. But first, let’s take a look at the new improved Nicole. Nicole come on out. Dr. Travis, have a seat right here. So how are you feeling? Nicole: Great. Dr. Andrew Ordon: Alright, let’s remind everybody out there the way Nicole looked before surgery. Let’s compare the frontal views and where do you see that big improvement. It's opening up. Now let’s show you from the side, before and after. And typically like so many women and men for that reason complaining of heaviness around the eyes and so often it’s not just the eyelid’s skin it’s also heaviness in the brow. So we analyzed her brow and we did this procedure. We want to take a look at this animation. I’m going to let Dr. Chopra go through this. He and I worked together as a team. He’s going to tell you what we do here. Dr. Ritu Chopra: So you can see we make small incisions in the scalp, so we can hide the incision. We undermined the scalp like you saw on the picture. We drilled holes in there into the scalp and we put our fixation device in. We put it in, pull all the scalp over it and that’s how the eyebrows get raised. The great thing about this that is so different from the old way where you use to cut the entire skin from ear to ear. So you have a less recovery time and a better outcome. Dr. Andrew Ordon: So that’s why I did it back when I trained. It involved the incision all the way around like that. So the important thing here though is not just looking at the eyelids but analyzing the brow as well and there are certain landmarks that we follow to give nice, natural, pretty brows. Dr. Ritu Chopra: Absolutely, there are two things we worried about, position and the contour of the brows. So everybody at home can do this to check if their brows are okay. I’ll demonstrate on Travis. So the first thing you do, to look for the position you fill your rim of your brow. For women the brow should be one centimeter above that for there are three things you want to look at, the middle part of your brown you should line it up with the middle of your eye right here, so that’s the way your brow should end. The high point of your brow should be in the lateral part of your eye right where the blue ends, so that’s the high point of your brow. It should be right here. And your brow should finely finish from a line directed from your nose to your eye your brows just finish there. So there are things you can do at home look in the mirror and as you can see if you need a brow lift. Dr. Andrew Ordon: And again, what was different about this that previously we would suspend the brows with one single suspension device. We are one of the only surgeons in the world that are now suspending the temple area through this incision, and you can see that we actually are bringing the browse up, fixing the brows and fixing the temple here with this device, the Ribbon Endotine made by the COAPT company, so that gives you a little bit of an idea. It improves that heaviness around the eyelids and corrects brow position. Dr. Travis Stork: And you’re happy. Nicole: Yes, very happy. Dr. Andrew Ordon: And you did it for the right reasons. Nicole: Yes, I did. Absolutely. Dr. Travis Stork: And that’s the most important. We can’t the scars and we just see a beautiful end result. Thank you. Nicole: Thank you. Dr. Travis Stork: Good work guys. Dr. Andrew Ordon: That’s it.